Burley Dialysis Center

LBN: Total Renal Care Inc
Burley Dialysis Center is an health care organization with primary practice located at 741 N Overland Ave , Burley ID 83318-3440. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Total Renal Care Inc can be contacted via phone (208) 677-5483, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
741 N Overland Ave Burley ID 83318-3440
Phone: (208) 677-5483
Fax: (208) 677-5498
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T.
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1326099011
LBN Legal business name Total Renal Care Inc
DBA Doing business as Burley Dialysis Center
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2006
Last updated Mar 6th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326099011 NPPES
Idaho MEDICAID 807605700

Popular Providers